Vaginal Orgasm Research Articles

Simultaneous Penile–Vaginal Intercourse Orgasm is Associated with Satisfaction (Sexual, Life, Partnership, and Mental Health)

Previous multivariate research found that satisfaction was associated positively with frequency of specifically penile-vaginal intercourse (PVI; as opposed to other sexual activities) as well as with vaginal orgasm. The contribution to satisfaction of simultaneous orgasm produced by PVI merited direct examination in a large representative sample. To examine the associations of aspects of satisfaction (sexual, life, own mental health, partner relationship) with consistency of simultaneous orgasm produced by PVI (as well as with PVI frequency and vaginal orgasm consistency). A representative sample of Czechs (N = 1,570) aged 35-65 years completed a survey on aspects of satisfaction, PVI frequency, vaginal orgasm consistency, and consistency of simultaneous orgasm produced by PVI (the latter being a specially timed version of vaginal orgasm for women). Analysis of variance of satisfaction components (LiSat scale items) from age and the sexual behaviors. For both sexes, all aspects of satisfaction were associated with simultaneous PVI orgasm consistency and with PVI frequency (except female life satisfaction). All aspects of satisfaction were also associated with vaginal orgasm consistency. Multivariate analyses indicated that PVI frequency and simultaneous orgasm consistency make independent contributions to the aspects of satisfaction for both sexes. For both sexes, PVI frequency and simultaneous orgasm produced by PVI (as well as vaginal orgasm for women) are associated with greater life, sexual, partnership, and mental health satisfaction. Greater support for these specific aspects of sexual activity is warranted.

Ti-Grace Atkinson and the Legacy of Radical Feminism

Ti-Grace Atkinson and the LegacyofRadical Feminism Breanne Fahs A peculiar problem arises when stories of social change—and the radi cal figures of those stories—persistently stay in the past tense. Much of what is known about the birth of radical feminism has been lost in archives, stunted by its out-of-print status or otherwise obscured by mainstream feminist efforts to make feminism palatable to a wider audi ence. As such, opportunities for intergenerational knowledge making and intermovement dialogue have been lost to many feminists who came of age after the late 1960s and early 1970s. In my ongoing work, I have sought to reestablish intergenerational links by gathering oral histories of early radical feminists.1 This article focuses in detail on the much understud ied Ti-Grace Atkinson, whose role in the early radical feminist movement has received less recognition than it should. I present parts of an interview with Atkinson examining the impact of radical feminism, its ideologi cal and political origins, key figures in the movement, her connection to key feminist figures, and lessons feminists have both succeeded and failed to learn while building and sustaining a progressive social movement for gender justice. I came conduct to this interview in the context of writing a book about Valerie Solanas—noted author of the scum [Society forCutting Up Men] Manifesto, whose shooting of artist Andy Warhol in 1968 provoked deep FeministStudies37, no. 3 (Fall 2011). © 2011 by Feminist Studies, Inc. 561 562 Breanne Fahs fissures within the feminist movement.2 In order to research Solanas, I interviewed several radical feminists, including Ti-Grace Atkinson, hoping to glean information about her contentious relationship with Solanas and to learn about Atkinson's role in the early years of radi cal feminism. Although my Atkinson interview certainly shed light on conflicts about Solanas, it also showcased Atkinson's role as a nucleus of early radical feminism, a one-woman networking powerhouse, and a subject of great interest in her own right. Atkinson, born November 9,1938, in Baton Rouge, Louisiana, started as a writer for Art News in New York City. After divorcing her husband of five years in 1961, she graduated from the University of Pennsylvania in 1964 and joined the National Organization for Women (now) shortly there after, eventually becoming its president in 1967. In 1968, she split off from now dramatically and publicly when now decided to maintain its organiza tional hierarchical structure (e.g., insisting upon a president) and refused to address systemic issues surrounding abortion and sex. Shortly there after, she founded The Feminists, a radical feminist group that remained active from 1968 to 1973 (although Atkinson's personal involvement with the group ended in April 1970). Atkinson self-published several pamphlets and gave numerous activist speeches on college campuses and commu nity forums in US and French cities. Most notably, Atkinson made history by arguing publicly against the Catholic Church (and being phys ically assaulted during a speech at Catholic University for discussing the Virgin Mary's sexuality), crusading against marriage as a form of spiritual and physical oppression, advocating political lesbianism as a response to patriarchy, and claiming that vaginal orgasm represented, as she titled a speech, a "mass hysterical survival response." She protested antiwoman policies of the Ladies' Home Journal, battled the New York City marriage bureau, fought to reconfigure abortion politics, publicly defended Valerie Solanas after the Andy Warhol shooting, and was recognized by the New York Times as feminism's "haute thinker."3 During this time, she also forged an alli ance with Simone de Beauvoir, befriending her and visiting Paris where she gave speeches on antirape and abortion organizing. She supported herself by "living on the edge" and, during her later years, finding small research fellowships and selling pieces of her archive to libraries. In the Breanne Fans 563 early 1970s, she was asked by Links Books to compile an assortment of her highly controversial speeches and writings into a collection called Amazon Odyssey: The FirstCollection of Writingsby the Political Pioneer of the Women'sMovement, which was published in 1974. The book had only one edition and is currently out of print, although it sold many copies by...

Substantial Deficiencies

The article has some serious methodological flaws. Preoperative data about quality of life and sexuality are lacking in 72.9% of patients, and for the 2 year observation period after surgery, data are available for merely 18% of subjects. This seriously limits the evidence of the study, which can be classified neither as a prospective nor as a retrospective study. The questionnaires do not do justice to impaired sexual functioning in both sexes. The Female Sexual Function Index (FSI) and the international Index of Erectile Function (IIEF) would have provided more adequate tools. Impaired innervation in women can be diagnosed on the basis of vaginal sensitivity, temperature perception, vibratory sensation, ability to experience vaginal orgasm, and lubrication (1). Erectile dysfunction in men that has been persistently present for more than 2 years is a known problem and should be mentioned preoperatively. An early solution to the problem as well as advice are required. The authors’ assumption, that adjuvant radiotherapy does not affect ED, cannot be answered methodologically because observation periods of more than 2 years are required to assess the situation (2). However, the assessment of bladder voiding disorder that is commonly associated with FSD by means of postoperative measurements of residual urine and micturition protocol is clinically justified (3). We evaluated 58 men with rectal carcinoma while investigating a similar clinical question. The patients were treated according to their tumor stage with deep anterior rectal and mesorectal resection (AR) or abdominoperineal extirpation of the rectum(APR) by using the water jet short needle knife (flush knife) technique. The mean period of aftercare was 35 months. The effect on sexuality and bladder voiding function was evaluated by using validated questionnaires (International Prostate Symptom Score [IPSS], [IIEF-5]). Impaired bladder voiding function necessitating therapy was not observed when the flush knife technique was used, independently of the surgical approach. ED requiring treatment occurred in 9 of 58 patients (15%) postoperatively. Using the flush knife technique in the context of rectal surgery enables neuroprotection of structures relevant to patients’ sexuality, in addition to incurring a lower degree of blood loss.

Vaginal Orgasm Is Associated with Vaginal (Not Clitoral) Sex Education, Focusing Mental Attention on Vaginal Sensations, Intercourse Duration, and a Preference for a Longer Penis

Evidence was recently provided for vaginal orgasm, orgasm triggered purely by penile-vaginal intercourse (PVI), being associated with better psychological functioning. Common sex education and sexual medicine approaches might undermine vaginal orgasm benefits. To examine the extent to which women's vaginal orgasm consistency is associated with (i) being told in childhood or adolescence that the vagina was the important zone for inducing female orgasm; (ii) how well they focus mentally on vaginal sensations during PVI; (iii) greater PVI duration; and (iv) preference for above-average penis length. In a representative sample of the Czech population, 1,000 women reported their vaginal orgasm consistency (from never to almost every time; only 21.9% never had a vaginal orgasm), estimates of their typical foreplay and PVI durations, what they were told in childhood and adolescence was the important zone for inducing female orgasm, their degree of focus on vaginal sensations during PVI, and whether they were more likely to orgasm with a longer than average penis. The association of vaginal orgasm consistency with the predictors noted above. Vaginal orgasm consistency was associated with all hypothesized correlates. Multivariate analysis indicated the most important predictors were being educated that the vagina is important for female orgasm, being mentally focused on vaginal sensations during PVI, and in some analyses duration of PVI (but not foreplay) and preferring a longer than average penis. Focusing attention on penile-vaginal sensation supports vaginal orgasm and the myriad benefits thereof. Brody S, and Weiss P. Vaginal orgasm is associated with vaginal (not clitoral) sex education, focusing mental attention on vaginal sensations, intercourse duration, and a preference for a longer penis.

PCOS and Urethrovaginal Space: 3-D Volumetric and Vascular Analysis

The vaginal orgasm seems to be evocated by the stimulation of the G-spot: a highly sensitive area on the anterior wall of the human vagina. However, the existence of such a spot is controversial. To evaluate, by the use of three-dimensional (3-D) ultrasonography, the anatomic structures of the urethrovaginal space both in polycystic ovarian syndrome (PCOS) patients and eumenorrheic non-hirsute controls. Twenty-three (Group I) PCOS patients and 25 eumenorrheic young women (Group II) were submitted to two-dimensional (2-D) and 3-D ultrasonography and color Doppler analysis of the urethrovaginal space and of the clitoris. 2-D ultrasonographic evaluation of the ovaries and of the urethrovaginal space; color Doppler evaluation of the ovarian stromal arteries, urethrovaginal main feeding artery, and dorsal clitoral arteries; 3-D volume calculation of the urethrovaginal space, and 3-D power Doppler analysis of the vascularization index; flow index; and vascularization flow index; hormonal evaluation. The vaginal orgasm was present in 13/23 (56%) patients in PCOS Group and in 13/25 (52%) in the controls. The 3-D reconstruction of the urethrovaginal space demonstrated a gland-like aspect with small feeding vessels: "female prostate." The 3-D mean volume of the "female prostate" was significantly higher in Group I (0.48 ± 0.21 mL) than in Group II (0.39 ± 0.19 mL; P = 0.044). The Virtual Organ Computer-aided AnaLys (VOCAL) built mean volume of the "female prostate" was positively correlated with the time since intercourse (r = 0.486; P = 0.032), with the total length of the urethrovaginal space (r = 0.616; P = 0.025) and with the testosterone (r = 0.424; P = 0.048) circulating values. The presence of the G-spot and its role in vaginal orgasm remains controversial. In Italians, and normal weight PCOS patients the hyperandrogenism seems to result in ovarian stromal and "female prostate" hyperplasia.

3-D Volumetric and Vascular Analysis of the Urethrovaginal Space in Young Women With or Without Vaginal Orgasm

The existence of the G-spot is controversial. To evaluate, by the use of three-dimensional (3-D) ultrasonography, the anatomic structures of the urethrovaginal space. Nineteen (Group I) eumenorrheic young women who experienced, and 20 (Group II) who did not experience a vaginal orgasm underwent two-dimensional (2-D) and 3-D ultrasonography and color Doppler analysis of the urethrovaginal space and of the clitoris during the early follicular phase of the menstrual cycle. 2-D ultrasonographic evaluation of the urethrovaginal space, and color Doppler evaluation of the urethrovaginal main feeding artery and dorsal clitoral arteries; 3-D volume calculation of the urethrovaginal space, and 3-D power Doppler analysis of vascular indices of the urethrovaginal space and clitoral body (vascularization index, flow index, vascularization flow index); hormonal evaluation. The 3-D reconstruction of the urethrovaginal space demonstrated a gland-like aspect with small feeding vessels. The total length (19.1 + or - 2.7 mm vs. 17.5 + or - 2.1 mm; P = 0.047), measured with 2-D ultrasound, and the 3-D mean volume (0.59 + or - 0.13 mL vs. 0.26 + or - 0.07 mL; P < 0.001) of the structures contained in the urethrovaginal space were significantly higher in Group I than in Group II. The mean time since the last intercourse was 31 + or - 9 hours in Group I and 18 + or - 3 hours (P = 0.033) in Group II. The urethrovaginal space vascularization, the clitoral volume and vascularization, and the circulating hormonal values did not significantly differ among the two groups. The mean volume of the structures contained in the urethrovaginal space was correlated with time since intercourse (r = 0.685; P = 0.021) and with serum testosterone (r = 0.637; P = 0.032) and androstenedione (r = 0.744; P = 0.011). The structures we observed in the urethrovaginal space have a gland-like aspect and their volume is correlated with both serum androgen concentrations and time since intercourse.

Immature Defense Mechanisms Are Associated with Lesser Vaginal Orgasm Consistency and Greater Alcohol Consumption before Sex

Disturbances of emotional and physical awareness can impair female sexual function. Previous research revealed that immature psychological defense mechanisms (impairing emotional awareness) are associated specifically with impaired vaginal orgasm (orgasm triggered solely by penile-vaginal stimulation). Alcohol consumed before sex (ACBS) might impair vaginal orgasm or lead to avoiding the opportunity for it, but research examining immature defenses, ACBS, and specific sexual behaviors has been lacking. To test the hypothesis that greater use of immature defenses and greater ACBS are inversely associated with vaginal orgasm consistency, but unrelated or positively correlated with greater frequency of other sexual behaviors. Three hundred twenty-three coitally experienced women (predominantly Scottish) responded to an online survey reporting their frequency of various sexual activities (and corresponding orgasms) and their ACBS, and completed the Defense Style Questionnaire DSQ-40. Univariate and multivariate correlations of immature defenses, ACBS, and various sexual behaviors. Both immature defenses and ACBS were associated with less vaginal orgasm consistency, but unrelated or positively correlated with frequency of other sexual behaviors (including clitoral masturbation during penile-vaginal intercourse). Immature defenses were associated with more ACBS. Immature defenses explained the association between ACBS and both lack of vaginal orgasm and greater frequency of other sexual behaviors. The results provide further evidence that difficulty in having a vaginal orgasm is associated with immature defenses (and associated disturbances of sensibility), among other indicators of poorer health and relatedness. ACBS might impair vaginal orgasm or increase the likelihood of choosing other sexual activities, but this effect might be somewhat contingent on immature defenses. Based on various empirical studies, we call for examination of the possibility that lack of vaginal orgasm (given an adequate man) should qualify as a female sexual dysfunction.

Female orgasm: Myths, facts and controversies

Summary In this article, we propose a review of data from scientific, anatomic, physiological and clinical literature, combined with sociological and historic data, with a view to providing a holistic picture of our knowledge of the subject. We will particularly focus on the growth of our scientific knowledge and how it is structured, in parallel to the changes that have taken place in cultural and historic factors related to our representations of the female orgasm. Controversies on the subject of female sexuality and the nature of the female orgasm are still present today, after mobilising feminists for more than half a century. You can almost follow the recent history of women in the progression of heated debate that has taken place over nearly two centuries about the nature of the female climax; vaginal or clitoridian. After the domination of vaginal orgasm at the end of the 19th century and early into the 20th, the supremacy of the clitoris became the cornerstone of feminist struggles; the symbol of social and sexual emancipation for women in the second half of the 20th century. There are still many areas of the female orgasm that are unclear today, in particular the existence of the G-Spot and female ejaculation, which since the 1980s have been a topic of much fervent debate in the media, rendering an objective scientific assessment of the relevant facts very difficult. More recent studies, using modern means of investigation have revealed, in opposition to the classic dichotomy between vaginal and clitoridian orgasm, the concept of clitoral complex and integrated and functional entity at the origin of female pleasure linking the clitoris, the vulva, the vagina, the uterus and the anus, opening up new prospects for understanding the female orgasm.

Sexual difficulties for persons with multiple sclerosis in New South Wales, Australia

This 1992 study was conducted to ascertain the incidence of sexual difficulties in individuals diagnosed with multiple sclerosis (MS) living in New South Wales, Australia. New South Wales is a state lying roughly 29-36 degrees south of the equator. This is currently the largest study conducted. The anonymous questionnaire completed by 283 respondents included questions on sexual difficulties, relationship satisfaction and the ability to communicate about and seek help for the sexual difficulties. In this study, 30% of respondents claimed to have sexual difficulties attributable to MS. Sexual difficulties were experienced by 51% of female and 74% of male respondents. For females, the most frequently occurring sexual symptoms were difficulty with achieving orgasm, lowered libido, dissatisfaction with sexual performance, dissatisfaction with frequency of intercourse, arousal difficulties and decreased vaginal lubrication. For males, by far the most common problem was decreased frequency of intercourse, followed by dissatisfaction with sexual performance, masturbation difficulties, difficulty with achieving vaginal orgasms, erectile dysfunctions, retarded ejaculation and premature ejaculation. Overall, females rated their sexual difficulties as 10th in order of importance of disabilities from MS and males ranked sexual difficulties as fourth in importance. For both males and females, sexual disability increased with age, relationship unhappiness and disease disability. Communicating about sexual difficulties was an issue for both males and females. Fifty five percent of males and 39% of females had been able to talk about their sexual difficulties and of these, only 29% of males and 36% of females had been able to access help for their sexual difficulty. Educational level did not predict ability to talk about, or ability to access help. There was a very low satisfaction rate for the sexual help received. The study highlights areas of need for the MS population.

Female Sexual Arousal Disorder with and without a Distress Criterion: Prevalence and Correlates in a Representative Czech Sample

Sexual medicine would benefit from large representative surveys examining the prevalence of genital female sexual arousal disorder (FSAD) symptoms (with and without the increasingly controversial distress criterion), as well as novel FSAD correlates and potential "protective" factors. To examine the extent to which genital FSAD symptoms, with and without a distress criterion, are associated with both historical and current aspects of sexual behavior. In a representative sample of the Czech population (aged 15-88), 1,000 women were asked whether they currently have impaired lubrication and vaginal swelling (and if so, if this produces marked distress or interpersonal difficulty). They provided details of vaginal orgasm (induced by penile-vaginal intercourse [PVI] without clitoral masturbation) consistency, feelings during their first PVI, estimates of their typical foreplay and PVI durations, their degree of mental focus on vaginal sensations during PVI, among other factors. The current prevalence of FSAD with and without a distress criterion and their associations with current and antecedent sexual behaviors and responses. The current prevalence of FSAD was 10.3% without, plus 7.5% with a distress criterion (which tended to be associated with more impairments than without distress). History of vaginal orgasm (odds ratio = 2.78), never masturbating (odds ratio = 2.4), not having felt pain and discomfort on first PVI (odds ratio = 2.27), and not having frequent anal intercourse are protective against FSAD with distress, but not without distress. Age (especially over 50) and inadequate focusing of mental attention on vaginal sensations during PVI are associated with increased FSAD risk both with and without distress. FSAD with and without distress appear to be different entities to some extent, with the distressed group showing more long-term signs of psychosexual impairment. We suggest that FSAD with and without distress be considered two different disorders.

PDE5i and vaginal orgasm: Reply to letter from S Brody

PDE5i and vaginal orgasm: Reply to letter from S Brody

Phosphodiesterase inhibitors and vaginal intercourse orgasm

Phosphodiesterase inhibitors and vaginal intercourse orgasm

ORIGINAL RESEARCH—PSYCHOLOGY: Condom Use for Penile–Vaginal Intercourse is Associated with Immature Psychological Defense Mechanisms

Freud opined that condom use during penile-vaginal intercourse (PVI), like sexual activities other than PVI, led to a detrimental effect on orgasm that fueled the neuroses. Although this hypothesis had not been empirically tested, Freud's hypothesis that inability to have a (PVI) vaginal orgasm is a sign of psychological immaturity has recently received empirical support. The objective is to examine the hypotheses that use of immature psychological defense mechanisms correlates directly with frequency of condom use during PVI, but inversely with frequency of PVI without condoms. An additional aim is to examine the independent contributions of frequency of PVI with and without condoms, and different triggers of orgasm, in predicting the use of immature defense mechanisms. Two hundred ten Portuguese participants (99 women) reported their frequency of PVI with and without condoms, and frequency of orgasms from different sexual activities during the preceding month, and also completed the Defense Style Questionnaire (DSQ-40). The association of DSQ-40 immature defenses (correlated with indices of psychopathology) with past month frequency of PVI with and without condoms, and orgasms from different sexual behaviors. Frequency of PVI with condoms correlated directly with use of immature defenses. Frequency of PVI without condoms correlated inversely with use of immature and neurotic defenses. Results were not confounded by relationship status, age, cohabitation, or social desirability responding. Regression analyses revealed that immature defenses were independently predicted by condom use for PVI and by masturbation orgasms (for both sexes). For women additional predictors were lack of vaginal orgasm, and orgasm from clitoral masturbation during PVI. The results are consistent with condom use during PVI being associated with psychological immaturity and predisposition to poorer mental health.

A Woman's History of Vaginal Orgasm is Discernible from Her Walk

Research has demonstrated the association between vaginal orgasm and better mental health. Some theories of psychotherapy assert a link between muscle blocks and disturbances of both character and sexual function. In Functional-Sexological therapy, one focus of treatment is amelioration of voluntary movement. The present study examines the association of general everyday body movement with history of vaginal orgasm. The objective was to determine if appropriately trained sexologists could infer women's history of vaginal orgasm from observing only their gait. Women with known histories of either vaginal orgasm or vaginal anorgasmia were videotaped walking on the street, and their orgasmic status was judged by sexologists blind to their history. The concordance between having had orgasms triggered by penile-vaginal intercourse (not orgasm from direct clitoral stimulation) and raters' inferences of vaginal orgasm history based on observation of the woman's walk was the main outcome measure. In the sample of healthy young Belgian women (half of whom were vaginally orgasmic), history of vaginal orgasm (triggered solely by penile-vaginal intercourse) was diagnosable at far better than chance level (81.25% correct, Fisher's Exact Test P < 0.05) by appropriately trained sexologists. Clitoral orgasm history was unrelated to both ratings and to vaginal orgasm history. Exploratory analyses suggest that greater pelvic and vertebral rotation and stride length might be characteristic of the gait of women who have experienced vaginal orgasm (r = 0.51, P < 0.05). The discerning observer may infer women's experience of vaginal orgasm from a gait that comprises fluidity, energy, sensuality, freedom, and absence of both flaccid and locked muscles. Results are discussed with regard to previous research on gait, the effect of the musculature on sexual function, the special nature of vaginal orgasm, and implications for sexual therapy.

Vaginal Orgasm Is Associated with Less Use of Immature Psychological Defense Mechanisms

Freud implied a link between inability to have a vaginal orgasm and psychosexual immaturity. Since Kinsey, many sexologists have asserted that no such link exists. However, empirical testing of the issue has been lacking. The objective was to determine the relationship between different sexual behavior triggers of female orgasm and use of immature psychological defense mechanisms. Women reported their past month frequency of different sexual behaviors and corresponding orgasm rates and completed the Defense Style Questionnaire (DSQ-40). The association between ability to have vaginal intercourse orgasm (versus clitoral orgasm) and the use of DSQ-40 immature psychological defense mechanisms (associated with various psychopathologies) was examined. In a sample of 94 healthy Portuguese women, vaginal orgasm (triggered solely by penile-vaginal intercourse) was associated with less use of DSQ-40 immature defenses. Vaginal orgasm was associated with less somatization, dissociation, displacement, autistic fantasy, devaluation, and isolation of affect. Orgasm from clitoral stimulation or combined clitoral-intercourse stimulation was not associated with less use of immature defenses, and was associated with more use of some immature defenses. In one regression analysis, more masturbation and less vaginal orgasm consistency made independent contributions to the statistical prediction of immature defenses. In another regression analysis, any use of extrinsic clitoral stimulation for intercourse orgasm, and lack of any vaginal orgasm, made independent contributions to the statistical prediction of immature defenses. Vaginally anorgasmic women had immature defenses scores comparable to those of established (depression, social anxiety disorder, panic disorder, and obsessive-compulsive disorder) outpatient psychiatric groups. Results were not confounded by social desirability responding or relationship quality. The results linking penile-vaginal orgasm with less use of immature psychological defense mechanisms are consistent with both early psychoanalytic personality theory and recent advances in sexual physiology. Implications for diagnosis and sex therapy are noted.

T01-O-09 In vivo measurement of the human G-spot

The purpose of this study was to use ultrasonography to evaluate the anatomical variability of the urethrovaginal space (G-spot) in women with and without vaginal orgasm. 20 healthy, neurologically intact volunteers were recruited. All women underwent a complete urodynamic evaluation and those with clinical and urodynamic urinary incontinence, idiopathic detrusor overactivity, or micturition disorders, as well as post-menopausal women and those with sexual dysfunction were excluded. The reported experience of vaginal orgasm with or without orgasmic ejaculation was investigated. The urethrovaginal space thickness as measured by ultrasound was chosen as the indicator of urogenital anatomical variability. Designated evaluators carried out the measurements in a blinded fashion.The urethrovaginal space and distal, middle, and proximal urethrovaginal segments were thinner in women without vaginal orgasm. A direct correlation between the presence of vaginal orgasm and the thickness of urethrovaginal space was found. Women with a thicker urethrovaginal space were more likely to experience vaginal orgasm (r=0.884; p=0.015). A direct and significant correlation between the thickness of each urethrovaginal segment and the presence of vaginal orgasm / female ejaculation was found, with the best correlation observed for the distal segment (r=0.863; p

T10-O-25 Clarifications about some theories in sexology and about a correct sexual terminology

Female sexual anatomy is neglected by sexologists who divulged some notions on the female sexual physiology despite not having any scientific bases. The vaginal orgasm described by some women is caused by the erectile structures that surround the vagina. The vaginal orgasm is a theory. Grafenberg in 1950 described the role of the whole urethra in female orgasm. Every sexologist should read Grafenberg's original article and understand that the hypothetical area named G-spot should not be defined with Grafenberg's name. Grafenberg not report a G-spot, whose existence is currently an hypothesis. By now no scientist demonstrated some vagus nerve's terminations in the vagina and in the cervix uteri so that the genitosensory component of the vagus nerve is a theory too. The whole erectile tissue of the vulva corresponds to the male penis: clitoris is the homologous only of a part of the male penis. The terms bulbs of the clitoris, clitoral urethra, clitoral vagina, from an embryological and anatomical point of view are not correct. Textbooks of anatomy report the terms of pubovaginalis (responsible of the superior vaginismus) and puborectalis muscles instead of pubococcygeus muscle (pubovisceral muscle). The term periurethral glands should not be used as the correct term is vaginal vestibule. The Halban's fascia is a layer of dense connective present in the bladder-vaginal septum and doesn’t correspond to the male corpus spongiosum. It is important that sexologists divulge to people scientific notions and that they use a correct scientific terminology when they describe the sexual anatomy.

T10-P-11 Sexual education and correct information about sexual physiologic functioning

Every woman and every man has the right to live sexual pleasure therefore sexual education should be scientific and correct. Sexologists should give teen-agers some important advices to let them approach sexuality without anxiety respecting themselves and the partner. The orgasm is a normal physiological function of all male and female human beings. Female orgasm is caused by female erectile organs. The female vagina has little sensitivity and distinguishing clitoral from vaginal orgasm is not correct: it has no scientific basis. Male and female orgasm should be a normal phase of the sexual response cycle. That is possible with a correct sexual stimulation, also after the menopause. The male erection is equivalent to the vasocongestion (erection) of the female erectile organs which causes lubrication of the vagina. To define as “complete sexual intercourse” the case in which the orgasm happens in both partners with or without a penetrative vaginal intercourse. To teach boys and girls that during the first sexual experience it is not obligatory to have a vaginal intercourse but it is important to give and to receive pleasure caressing and touching the partner. Sexual virginity doesn’t have to be identified anymore by the hymen and first penetration. Boys and girls should be taught that the size of the male penis is not important to give the partner an orgasm. The contemporary stimulation of the clitoris during vaginal intercourse facilitates the female orgasm. Sexologists should give correct and scientific sexual education to help people having a satisfactory sexual life.

T05-P-12 Embryology and anatomy of the female erectile organs

In sexology textbooks, the embryology and the anatomy of the female erectile organs are neglected. A correct knowledge of female sexual anatomy and functioning is very important in sexual education and therapy. Embryological development of the female genital organs Only the body of the uterus and the uterine tubas are formed by the Müllerian ducts; the vagina develops from the urogenital sinus. The female external genital organs develop, as in the male, from the phallus, from the urogenital folds and from the labioscrotal swellings. Anatomy of the female erectile organs Vulva is constituted by the labia majora and the vaginal vestibule, with an erectile apparatus: clitoris, bulbs and corpus spongiosum, labia minora, corpus spongiosum of the female urethra. Corpus spongiosum of the female urethra is present in every woman and the female urethral sensibility has not been well investigated until now. The correct term to indicate the whole female erectile organs should be female penis from embryological and anatomical points of view. The erectile structures are the same in female and in male. The clitoris is only a part of the male penis. The vagina is mainly a reproductive organ; the vaginal orgasm and G-spot are not based on scientific evidence. In sexology textbooks the female genital anatomy should include all the erectile structures responsible for the female orgasm. Every woman has the right to have a sexual health and sexual pleasure: the female orgasm is possible in every woman because it is caused by female erectile organs.

Measurement of the Thickness of the Urethrovaginal Space in Women with or without Vaginal Orgasm

The physiology and anatomy of female sexual function are poorly understood. The differences in sexual function among women may be partly attributed to anatomical factors. The purpose of this study was to use ultrasonography to evaluate the anatomical variability of the urethrovaginal space in women with and without vaginal orgasm. Twenty healthy, neurologically intact volunteers were recruited from a population of women who were a part of a previous published study. All women underwent a complete urodynamic evaluation and those with clinical and urodynamic urinary incontinence, idiopathic detrusor overactivity, or micturition disorders, as well as postmenopausal women and those with sexual dysfunction were excluded. The reported experience of vaginal orgasm was investigated. The urethrovaginal space thickness as measured by ultrasound was chosen as the indicator of urogenital anatomical variability. Designated evaluators carried out the measurements in a blinded fashion. The urethrovaginal space and distal, middle, and proximal urethrovaginal segments were thinner in women without vaginal orgasm. A direct correlation between the presence of vaginal orgasm and the thickness of urethrovaginal space was found. Women with a thicker urethrovaginal space were more likely to experience vaginal orgasm (r = 0.884; P = 0.015). A direct and significant correlation between the thickness of each urethrovaginal segment and the presence of vaginal orgasm was found, with the best correlation observed for the distal segment (r = 0.863; P < 0.0001). Interobserver agreement between the designated evaluators was excellent (r = 0.87; P < 0.001). The measurement of the space within the anterior vaginal wall by ultrasonography is a simple tool to explore anatomical variability of the human clitoris-urethrovaginal complex, also known as the G-spot, which can be correlated to the ability to experience the vaginally activated orgasm.